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ECOSOC, TOPIC AREA A: THE ECONOMIC AND SOCIAL IMPACT OF EBOLA ON THE AF-
FECTED COUNTRIES AND SOLUTIONS FOR AN EFFICIENT AND MULTI-SECTORAL RE-
SPONSE.
Rotaract Global Model United Nations; Belgrade 26 – 30 August, 2015
[ ]1
Chair: Natalia Hermida, Co-Chair: Elisavet Dravalou
ECONOMIC AND SOCIAL COUNCIL
TOPIC AREA A: THE ECONOMIC AND SOCIAL IMPACT OF EBO-
LA ON THE AFFECTED COUNTRIES AND SOLUTIONS FOR AN
EFFICIENT AND MULTI-SECTORAL RESPONSE.
ECOSOC, TOPIC AREA A: THE ECONOMIC AND SOCIAL IMPACT OF EBOLA ON THE AF-
FECTED COUNTRIES AND SOLUTIONS FOR AN EFFICIENT AND MULTI-SECTORAL RE-
SPONSE.
Honorable Delegates,
It is our pleasure to welcome you to the GA second committee, the Economic
and Social Council of Rotaract Global Model United Nations Conference.
We are Natalia Hermida and Elisavet Dravalou and will serve you as your
chairs. We will do our best to make this conference an outstanding and
challenging experience.
We know that you are on the lookout for this activity. Each one of you has a
key role in the development of the committee; therefore, it is vital that your
research is accurate and you have the knowledge and capacity in order to
support your arguments and propose viable solutions.
During the session, we will be discussing two subjects:
A. The Economic and Social Impact of Ebola on the Affected Countries
and Solutions for an Efficient and Multi-Sectoral Response.
B. Securing and Attaining Sustainable Water Management.
This study guide will be the starting point for you to get familiar with the topics
and their different dimensions. We encourage you to go further and get
prepared by gathering as much information as possible in order to make this
debate a challenging one.
We are confident that this conference will contribute to your academic
development but beyond that, with wonderful memories, friends for life and
courage to “Be the change you wish to see in the world.” – Mahatma Gandhi
We are looking forward to meeting you, if you have any questions during the
research, please do not hesitate to contact us.
Sincerely yours,
Natalia and Elisavet
Rotaract Global Model United Nations; Belgrade 26 – 30 August, 2015
[ ]2
ECOSOC, TOPIC AREA A: THE ECONOMIC AND SOCIAL IMPACT OF EBOLA ON THE AF-
FECTED COUNTRIES AND SOLUTIONS FOR AN EFFICIENT AND MULTI-SECTORAL RE-
SPONSE.
TABLE OF CONTENTS
TABLE OF CONTENTS 3
INTRODUCTION 4
WHAT IS EBOLA & HISTORY 5
ECONOMIC IMPACT OF EBOLA 6
SOCIAL IMPACT OF EBOLA 7
UN RESPONSE 9
QARMAS (QUESTIONS A RESOLUTION MUST ANSWER) 10
CONCLUSION 11
REFERENCES AND FURTHER READING 12
Rotaract Global Model United Nations; Belgrade 26 – 30 August, 2015
[ ]3
ECOSOC, TOPIC AREA A: THE ECONOMIC AND SOCIAL IMPACT OF EBOLA ON THE AF-
FECTED COUNTRIES AND SOLUTIONS FOR AN EFFICIENT AND MULTI-SECTORAL RE-
SPONSE.
Topic Area A: The Economic and Social Impact of Ebola on
the Affected Countries and Solutions for an Efficient and
Multi-Sectoral Response.
INTRODUCTION
On the dawn of 2014, Western Africa came face to face with an
unprecedented outbreak of Ebola Virus Disease (EVD), an outbreak that was
about to become the most fatal one in the history, causing over 1000 deaths
in the three most affected countries (Guinea, Sierra Leone and Liberia).1
This outbreak took rapidly epidemic dimensions and was very difficult to be
controlled. Extreme poverty, a dysfunctional healthcare system, a mistrust of
government officials after years of armed conflict, and the delay in responding
to the outbreak for several months have all contributed to the failure to control
the epidemic.
Unfortunately, the epidemic has reduced the rate of growth achieved since
the restoration of peace and democracy in the three most-affected countries
and its social and economic impacts are estimated to take 5-10 years to
overcome.2
!
Photo source: https://gmggranger.wordpress.com/tag/ebola/
http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6325a4.htm?s_cid=mm6325a4_w1
http://www.africa.undp.org/content/dam/rba/docs/Reports/EVD%20Synthesis%20Report2
%2023Dec2014.pdf
Rotaract Global Model United Nations; Belgrade 26 – 30 August, 2015
[ ]4
ECOSOC, TOPIC AREA A: THE ECONOMIC AND SOCIAL IMPACT OF EBOLA ON THE AF-
FECTED COUNTRIES AND SOLUTIONS FOR AN EFFICIENT AND MULTI-SECTORAL RE-
SPONSE.
What Is Ebola?
Ebola virus disease (EVD), formerly known as Ebola haemorrhagic fever, is
a severe, often fatal illness in humans. It may be transmitted to people from3
wild animals is spread in the human population through human-to-human
transmission. Humans are not infectious until they develop symptoms. First
symptoms are the sudden onset of fever fatigue, muscle pain, headache and
sore throat. This is followed by vomiting, diarrhoea, rash, symptoms of
impaired kidney and liver function, and in some cases, both internal and
external bleeding. The average EVD case fatality rate is around 50%. Case
fatality rates have varied from 25% to 90% in past outbreaks.
History
The first EVD outbreaks occurred in 1976 in remote villages in Central Africa,
near tropical rainforests, however the current outbreak in West Africa, (with
the first cases being notified in March 2014), is the largest Ebola outbreak
since the Ebola virus was first discovered in 1976. There have been more
cases and deaths in this outbreak than all others combined. As of July 2015,4
there is no medication which has been proven in large trials to be safe and
effective in treating Ebola patients. By the time of the Ebola virus epidemic in
West Africa which began in 2013, there were at least nine different candidate
treatments. Several trials were conducted in late 2014 and early 2015, but
some were abandoned due to lack of efficacy or lack of patients as the
infection rate slowed. Many Ebola vaccine candidates had been developed in
the decade prior to 2014, but as of November 2014, none had yet been
approved by the United States Food and Drug Administration for clinical use
in humans.5
http://www.who.int/mediacentre/factsheets/fs103/en/3
http://www.who.int/csr/disease/ebola/en/4
http://www.who.int/mediacentre/news/statements/2014/ebola-therapies-consultation/5
en/
http://annals.org/article.aspx?articleid=1899514
http://www.who.int/medicines/emp_ebola_section/en/
Rotaract Global Model United Nations; Belgrade 26 – 30 August, 2015
[ ]5
ECOSOC, TOPIC AREA A: THE ECONOMIC AND SOCIAL IMPACT OF EBOLA ON THE AF-
FECTED COUNTRIES AND SOLUTIONS FOR AN EFFICIENT AND MULTI-SECTORAL RE-
SPONSE.
ECONOMIC IMPACT OF EBOLA
!
Photo source: http://www.worldbank.org/en/topic/poverty/publication/socio-
economic-impacts-ebola-liberia
In an effort to measure the economic impact of Ebola on Liberian households,
the World Bank, with the Liberian Institute of Statistics and Geo-Information
Services and the Gallup Organization, conducted five rounds of mobile-phone
surveys, in October, November, December 2014 and January and March
2015. The results showed that employment has been significantly affected,
most importantly women (typically self-employed in those regions, usually
traders or in markets- jobs that have been most impacted).
In order to avoid further spread of the disease, the governments of three
most affected countries have adopted a series of measures resulting that
have deeply affected trade, therefore the economy of these countries. The
restrictions in markets and regional borders, restrictions at traveling at some
high-risked areas, quarantines and restrictions on public gatherings at bars,
restaurants etc have affected negatively the rate of growth in those countries
not inside and out of the borders (since exports of products have been
severely controlled). Unemployment rate has increased significantly. Private
investment and trade suffer. Tourism is inexistent.
In addition, food insecurity has driven households to adopt measures in
order to withstand. Such measures are the sale of assets, such as land,
Rotaract Global Model United Nations; Belgrade 26 – 30 August, 2015
[ ]6
ECOSOC, TOPIC AREA A: THE ECONOMIC AND SOCIAL IMPACT OF EBOLA ON THE AF-
FECTED COUNTRIES AND SOLUTIONS FOR AN EFFICIENT AND MULTI-SECTORAL RE-
SPONSE.
buildings, livestock and seed rice, that are likely to reduce their future income
or the expenditure of their already existing savings.6
Fear among people has a substantial economic impact as well since
workers are unwilling to engage in collective activities, a fact that has reduced
agricultural not only the agricultural production, but office work as well.
In general, the devotion of increased expenditures to fighting the epidemic,
coupled with declining revenues as economic activity fades, are expanding
fiscal deficits and reducing expenditures on activities that are not directly
related to Ebola. Inflation is rising due to supply bottlenecks, driven by the
reduced labor supply, lower trade domestically and across land borders, and
unavailability of shipping.7
SOCIAL IMPACT OF EBOLA
As it was expected, the Ebola outbreak affected and almost broke down
social ties and cohesion in those three countries. Social gatherings have been
out of the daily agenda, longstanding traditions of community support, care
giving and burial customs have been put aside. People’s fear of getting
infected had led them to isolation, not only from strangers but from their own
families as well.
Due to the epidemic, expenditures on non-Ebola related health services
have been dramatically reduced, given the fact that the already existed
system had been suffering from severe resource shortages and lack of
financing and personnel. The result is likely to be higher infant and maternal
mortality and increasing numbers of deaths from malaria and other diseases.
On the other hand, the increased attention to hygiene may have improved
water supplies and limited cholera.
As a result of the Ebola outbreak, schools have closed. That fact has
postponed the completion of education for students across the three
countries. The most significant outcome of this educational disruption may be8
the future productivity losses, reflecting the lower education of those who do
http://www.africa.undp.org/content/dam/rba/docs/Reports/EVD%20Synthesis%20Report6
%2023Dec2014.pdf
http://www.africa.undp.org/content/dam/rba/docs/Reports/EVD%20Synthesis%20Report7
%2023Dec2014.pdf
Rotaract Global Model United Nations; Belgrade 26 – 30 August, 2015
[ ]7
ECOSOC, TOPIC AREA A: THE ECONOMIC AND SOCIAL IMPACT OF EBOLA ON THE AF-
FECTED COUNTRIES AND SOLUTIONS FOR AN EFFICIENT AND MULTI-SECTORAL RE-
SPONSE.
not return to school, which will also require heavy additional investment in an
attempt to bring educational outcomes back to pre-outbreak levels.9
It’s an indisputable fact that the epidemic has caused the erosion of social
ties in these three affected countries. Suspicion, isolation, but most of all
stigmatization of health workers and affected families result from the
epidemic. Also, the mistrust within the family has been increased. Three
quarters of households questioned said they were mistrustful towards all the
other members of the family, 88 percent did not want to live in the same
house as or share a meal with someone who had a family member infected by
the virus, and 86 percent did not want to share the same workspace and the
same means of transport. Only 28 percent of respondents said that those10
cured of Ebola were accepted by the members of their families.11
The epidemic has affected disproportionately women. The reason why is
because the role of women dictated by tradition in these societies, as care-
givers exposes them to a greater extend of the danger to get affected. Many
women also finance economic activities through various forms of cooperative
borrowing arrangements that typically require gatherings of people, which
have been suspended due to fear of contagion.
Furthermore, the new –established democratically governments have failed
to cope with the crises. While governments have established agencies to
coordinate their efforts against the epidemic, bureaucratic competition has
nevertheless led to duplication and increased cynicism about government
commitment.
http://sa.au.int/en/sites/default/files/THE%20SOCIAL%20IMPACT%20OF%20EBOLA%20-9
English.pdf
http://www.africa.undp.org/content/dam/rba/docs/Reports/EVD%20Synthesis%20Report10
%2023Dec2014.pdf
http://www.africa.undp.org/content/dam/rba/docs/Reports/EVD%20Synthesis%20Report11
%2023Dec2014.pdf
Rotaract Global Model United Nations; Belgrade 26 – 30 August, 2015
[ ]8
ECOSOC, TOPIC AREA A: THE ECONOMIC AND SOCIAL IMPACT OF EBOLA ON THE AF-
FECTED COUNTRIES AND SOLUTIONS FOR AN EFFICIENT AND MULTI-SECTORAL RE-
SPONSE.
UN RESPONSE12
Organizations from around the world have responded to help stop the ongoing
Ebola virus epidemic in West Africa. In July 2014, the World Health
Organization (WHO) convened an emergency meeting with health ministers
from eleven countries. In September, the United Nations Security Council13
declared the Ebola virus outbreak in the West Africa subregion a "threat to
international peace and security" and unanimously adopted a resolution
urging UN member states to provide more resources to fight the outbreak .14
The Economic Community of West African States (ECOWAS) and the World
Bank Group have pledged aid money and the World Food Programme
announced plans to mobilize food assistance for an estimated 1 million people
living in restricted access areas. The United Nations Mission for Ebola
Emergency Response (UNMEER) has the task of overall planning and
coordination, directing the efforts of the UN agencies, national governments,
and other humanitarian actors to the areas where they are most needed and
several NGOs have been created in order to tackle the problem.
UN Mission for Ebola Emergency Response (UNMEER)
On 19 September 2014, an emergency health mission was set for the first
time in the history of United Nations. UN Mission for Ebola Emergency
Response (UNMEER) was established after the unanimous adoption
of General Assembly resolution 69/1, and the adoption of Security Council
resolution 2177 (2014). It was a temporary measure to deal with the
immediate needs in the fight against Ebola by deploying financial, logistical
and human resources to Guinea, Liberia and Sierra Leone to support the
push to zero cases.15
On 31 July 2015 UNMEER closed since it has achieved its core objective of
scaling up the response on the ground. As of 01 August 2015, oversight of16
UN system’s Ebola emergency response will be fully led by World Health
Organization, under the direct authority of WHO Director-General Margaret
Chan. In a statement on 31 July the Secretary-General Ban Ki-moon said 'the
http://apps.who.int/iris/bitstream/10665/137185/1/roadmapupdate25Oct14_eng.pdf?12
ua=1
http://www.afro.who.int/en/media-centre/media-advisory/item/6672-who-calls-13
emergency-sub-regional-ministerial-meeting-in-accra-ghana-to-tackle-the-on-going-ebola-
virus-in-west-africa.html
http://www.un.org/press/en/2014/sc11566.doc.htm14
http://theglobalobservatory.org/2014/12/security-council-response-ebola-action/15
http://ebolaresponse.un.org/un-mission-ebola-emergency-response-unmeer16
Rotaract Global Model United Nations; Belgrade 26 – 30 August, 2015
[ ]9
ECOSOC, TOPIC AREA A: THE ECONOMIC AND SOCIAL IMPACT OF EBOLA ON THE AF-
FECTED COUNTRIES AND SOLUTIONS FOR AN EFFICIENT AND MULTI-SECTORAL RE-
SPONSE.
United Nations remains steadfast in its commitment to supporting the
Governments of Guinea, Liberia and Sierra Leone in getting to and staying at
zero cases'. The situation may have been stabilized but the disease still
infects thousands of people and its social and economic consequences
should be addressed in order to ensure the recovery of the affected states.
Besides UNMEER and as part of the overall UNMEER and UN response,
UNDP is helping to track payments and improve the systems through which
they are being delivered to treatment center staff, lab technicians, contacts
tracers and burial teams.17
RESOLUTION 2177 18
On 18 September 2014 the Security Council passes unanimously
Resolution 2177, stating that Ebola virus consists a “threat to international
peace and security “. Not only did a record by setting 134 countries co-
sponsor the resolution, it was one of three resolutions in history of the Council
to address a global health concern (there are two other Resolutions about
HIV), and the first to declare a health issue to be a threat to international
peace and security.
By passing this Resolution the Security Council is continuing to push the
boundaries of what constitutes a threat to international peace and security
under international law to align more closely with a “human security”
framework.19
QARMAS (QUESTIONS A RESOLUTION MUST
ANSWER)
-What are the main social and economic consequences after the latest Ebola
outbreak?
-How should we address the social and economic consequences of Ebola?
-Which are the most affected countries that the UN should focus on?
-Are there any target groups that need particular attention?
-What issues have not yet been addressed by the existing resolutions?
http://www.undp.org/content/undp/en/home/ourwork/our-projects-and-initiatives/17
ebola-response-in-west-africa.html
http://www.bbc.com/news/world-africa-2926296818
http://theglobalobservatory.org/2014/12/security-council-response-ebola-action/19
Rotaract Global Model United Nations; Belgrade 26 – 30 August, 2015
[ ]10
ECOSOC, TOPIC AREA A: THE ECONOMIC AND SOCIAL IMPACT OF EBOLA ON THE AF-
FECTED COUNTRIES AND SOLUTIONS FOR AN EFFICIENT AND MULTI-SECTORAL RE-
SPONSE.
CONCLUSION
One of the lessons learnt during the fight against this unprecedented
outbreak of the Ebola epidemic is that this was not only a health crisis, but a
social crisis as well. The legacy of civil wars in the three most affected
countries has paved the road so that this outbreak gets that dimensionized.
This outbreak has shown that the international community should not be
overly engaged with humatarian and early recovery actions but it has to focus
on tackling its root causes and help these countrie recover from it as soon as
possible.
Rotaract Global Model United Nations; Belgrade 26 – 30 August, 2015
[ ]11
ECOSOC, TOPIC AREA A: THE ECONOMIC AND SOCIAL IMPACT OF EBOLA ON THE AF-
FECTED COUNTRIES AND SOLUTIONS FOR AN EFFICIENT AND MULTI-SECTORAL RE-
SPONSE.
REFERENCES AND FURTHER READING
http://www.un.org/press/en/2014/sc11566.doc.htm
http://ebolaresponse.un.org/un-mission-ebola-emergency-response-unmeer
https://en.wikipedia.org/wiki/Ebola_virus_epidemic_in_West_Africa
http://www.who.int/mediacentre/factsheets/fs103/en/
http://www.who.int/mediacentre/factsheets/fs103/en/
http://www.who.int/ith/updates/20140421/en/
Donald G. McNeil Jr. (3 October 2014). "Ask Well: How Does Ebola Spread?
How Long Can the Virus Survive?". The New York Times, available at: http://
well.blogs.nytimes.com/2014/10/03/ebola-ask-well-spread-public-transit/?_r=0
Chan M (September 2014). "Ebola virus disease in West Africa—no early end
to the outbreak". N Engl J Med 371 (13): 1183–5. doi:10.1056/
NEJMp1409859.PMID 25140856, available at: http://www.nejm.org/doi/full/
10.1056/NEJMp1409859
http://www.cdc.gov/vhf/ebola/treatment/
http://www.medicinenet.com/ebola_virus_pictures_slideshow/article.htm
http://sa.au.int/en/sites/default/files/THE%20SOCIAL%20IMPACT%20OF
%20EBOLA%20-English.pdf
http://epidemic.bio.ed.ac.uk/ebolavirus_fatality_rate
http://apps.who.int/ebola/ebola-situation-reports
http://who.int/csr/disease/ebola/ebola-6-months/guinea-chart-big.png?ua=1
Rotaract Global Model United Nations; Belgrade 26 – 30 August, 2015
[ ]12
ECOSOC, TOPIC AREA A: THE ECONOMIC AND SOCIAL IMPACT OF EBOLA ON THE AF-
FECTED COUNTRIES AND SOLUTIONS FOR AN EFFICIENT AND MULTI-SECTORAL RE-
SPONSE.
http://www.who.int/mediacentre/news/statements/2014/ebola-20140808/en/
http://www.who.int/mediacentre/news/statements/2014/ebola-20140808/en/
https://en.wikipedia.org/wiki/Ebola_virus_disease
http://www.who.int/mediacentre/news/statements/2014/ebola-20140808/en/
http://www.cdc.gov/vhf/ebola/outbreaks/2014-west-africa/index.html
http://www.africa.undp.org/content/dam/rba/docs/Reports/EVD%20Synthesis
%20Report%2023Dec2014.pdf
http://sa.au.int/en/sites/default/files/THE%20SOCIAL%20IMPACT%20OF
%20EBOLA%20-English.pdf
http://theglobalobservatory.org/2014/12/security-council-response-ebola-
action/
http://theglobalobservatory.org/2014/12/security-council-response-ebola-
action/
http://ebolaresponse.un.org/un-mission-ebola-emergency-response-unmeer
http://ebolaresponse.un.org/un-mission-ebola-emergency-response-unmeer
http://www.who.int/mediacentre/factsheets/fs103/en/
http://www.cdc.gov/vhf/ebola/outbreaks/2014-west-africa/
Rotaract Global Model United Nations; Belgrade 26 – 30 August, 2015
[ ]13
ECOSOC, TOPIC AREA A: THE ECONOMIC AND SOCIAL IMPACT OF EBOLA ON THE AF-
FECTED COUNTRIES AND SOLUTIONS FOR AN EFFICIENT AND MULTI-SECTORAL RE-
SPONSE.
http://www.who.int/mediacentre/news/statements/2014/ebola-therapies-
consultation/en/
http://annals.org/article.aspx?articleid=1899514
http://www.who.int/medicines/emp_ebola_section/en/
Rotaract Global Model United Nations; Belgrade 26 – 30 August, 2015
[ ]14

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Study guide ecosoc topic-area-a rotaract global mun 2015

  • 1. ECOSOC, TOPIC AREA A: THE ECONOMIC AND SOCIAL IMPACT OF EBOLA ON THE AF- FECTED COUNTRIES AND SOLUTIONS FOR AN EFFICIENT AND MULTI-SECTORAL RE- SPONSE. Rotaract Global Model United Nations; Belgrade 26 – 30 August, 2015 [ ]1 Chair: Natalia Hermida, Co-Chair: Elisavet Dravalou ECONOMIC AND SOCIAL COUNCIL TOPIC AREA A: THE ECONOMIC AND SOCIAL IMPACT OF EBO- LA ON THE AFFECTED COUNTRIES AND SOLUTIONS FOR AN EFFICIENT AND MULTI-SECTORAL RESPONSE.
  • 2. ECOSOC, TOPIC AREA A: THE ECONOMIC AND SOCIAL IMPACT OF EBOLA ON THE AF- FECTED COUNTRIES AND SOLUTIONS FOR AN EFFICIENT AND MULTI-SECTORAL RE- SPONSE. Honorable Delegates, It is our pleasure to welcome you to the GA second committee, the Economic and Social Council of Rotaract Global Model United Nations Conference. We are Natalia Hermida and Elisavet Dravalou and will serve you as your chairs. We will do our best to make this conference an outstanding and challenging experience. We know that you are on the lookout for this activity. Each one of you has a key role in the development of the committee; therefore, it is vital that your research is accurate and you have the knowledge and capacity in order to support your arguments and propose viable solutions. During the session, we will be discussing two subjects: A. The Economic and Social Impact of Ebola on the Affected Countries and Solutions for an Efficient and Multi-Sectoral Response. B. Securing and Attaining Sustainable Water Management. This study guide will be the starting point for you to get familiar with the topics and their different dimensions. We encourage you to go further and get prepared by gathering as much information as possible in order to make this debate a challenging one. We are confident that this conference will contribute to your academic development but beyond that, with wonderful memories, friends for life and courage to “Be the change you wish to see in the world.” – Mahatma Gandhi We are looking forward to meeting you, if you have any questions during the research, please do not hesitate to contact us. Sincerely yours, Natalia and Elisavet Rotaract Global Model United Nations; Belgrade 26 – 30 August, 2015 [ ]2
  • 3. ECOSOC, TOPIC AREA A: THE ECONOMIC AND SOCIAL IMPACT OF EBOLA ON THE AF- FECTED COUNTRIES AND SOLUTIONS FOR AN EFFICIENT AND MULTI-SECTORAL RE- SPONSE. TABLE OF CONTENTS TABLE OF CONTENTS 3 INTRODUCTION 4 WHAT IS EBOLA & HISTORY 5 ECONOMIC IMPACT OF EBOLA 6 SOCIAL IMPACT OF EBOLA 7 UN RESPONSE 9 QARMAS (QUESTIONS A RESOLUTION MUST ANSWER) 10 CONCLUSION 11 REFERENCES AND FURTHER READING 12 Rotaract Global Model United Nations; Belgrade 26 – 30 August, 2015 [ ]3
  • 4. ECOSOC, TOPIC AREA A: THE ECONOMIC AND SOCIAL IMPACT OF EBOLA ON THE AF- FECTED COUNTRIES AND SOLUTIONS FOR AN EFFICIENT AND MULTI-SECTORAL RE- SPONSE. Topic Area A: The Economic and Social Impact of Ebola on the Affected Countries and Solutions for an Efficient and Multi-Sectoral Response. INTRODUCTION On the dawn of 2014, Western Africa came face to face with an unprecedented outbreak of Ebola Virus Disease (EVD), an outbreak that was about to become the most fatal one in the history, causing over 1000 deaths in the three most affected countries (Guinea, Sierra Leone and Liberia).1 This outbreak took rapidly epidemic dimensions and was very difficult to be controlled. Extreme poverty, a dysfunctional healthcare system, a mistrust of government officials after years of armed conflict, and the delay in responding to the outbreak for several months have all contributed to the failure to control the epidemic. Unfortunately, the epidemic has reduced the rate of growth achieved since the restoration of peace and democracy in the three most-affected countries and its social and economic impacts are estimated to take 5-10 years to overcome.2 ! Photo source: https://gmggranger.wordpress.com/tag/ebola/ http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6325a4.htm?s_cid=mm6325a4_w1 http://www.africa.undp.org/content/dam/rba/docs/Reports/EVD%20Synthesis%20Report2 %2023Dec2014.pdf Rotaract Global Model United Nations; Belgrade 26 – 30 August, 2015 [ ]4
  • 5. ECOSOC, TOPIC AREA A: THE ECONOMIC AND SOCIAL IMPACT OF EBOLA ON THE AF- FECTED COUNTRIES AND SOLUTIONS FOR AN EFFICIENT AND MULTI-SECTORAL RE- SPONSE. What Is Ebola? Ebola virus disease (EVD), formerly known as Ebola haemorrhagic fever, is a severe, often fatal illness in humans. It may be transmitted to people from3 wild animals is spread in the human population through human-to-human transmission. Humans are not infectious until they develop symptoms. First symptoms are the sudden onset of fever fatigue, muscle pain, headache and sore throat. This is followed by vomiting, diarrhoea, rash, symptoms of impaired kidney and liver function, and in some cases, both internal and external bleeding. The average EVD case fatality rate is around 50%. Case fatality rates have varied from 25% to 90% in past outbreaks. History The first EVD outbreaks occurred in 1976 in remote villages in Central Africa, near tropical rainforests, however the current outbreak in West Africa, (with the first cases being notified in March 2014), is the largest Ebola outbreak since the Ebola virus was first discovered in 1976. There have been more cases and deaths in this outbreak than all others combined. As of July 2015,4 there is no medication which has been proven in large trials to be safe and effective in treating Ebola patients. By the time of the Ebola virus epidemic in West Africa which began in 2013, there were at least nine different candidate treatments. Several trials were conducted in late 2014 and early 2015, but some were abandoned due to lack of efficacy or lack of patients as the infection rate slowed. Many Ebola vaccine candidates had been developed in the decade prior to 2014, but as of November 2014, none had yet been approved by the United States Food and Drug Administration for clinical use in humans.5 http://www.who.int/mediacentre/factsheets/fs103/en/3 http://www.who.int/csr/disease/ebola/en/4 http://www.who.int/mediacentre/news/statements/2014/ebola-therapies-consultation/5 en/ http://annals.org/article.aspx?articleid=1899514 http://www.who.int/medicines/emp_ebola_section/en/ Rotaract Global Model United Nations; Belgrade 26 – 30 August, 2015 [ ]5
  • 6. ECOSOC, TOPIC AREA A: THE ECONOMIC AND SOCIAL IMPACT OF EBOLA ON THE AF- FECTED COUNTRIES AND SOLUTIONS FOR AN EFFICIENT AND MULTI-SECTORAL RE- SPONSE. ECONOMIC IMPACT OF EBOLA ! Photo source: http://www.worldbank.org/en/topic/poverty/publication/socio- economic-impacts-ebola-liberia In an effort to measure the economic impact of Ebola on Liberian households, the World Bank, with the Liberian Institute of Statistics and Geo-Information Services and the Gallup Organization, conducted five rounds of mobile-phone surveys, in October, November, December 2014 and January and March 2015. The results showed that employment has been significantly affected, most importantly women (typically self-employed in those regions, usually traders or in markets- jobs that have been most impacted). In order to avoid further spread of the disease, the governments of three most affected countries have adopted a series of measures resulting that have deeply affected trade, therefore the economy of these countries. The restrictions in markets and regional borders, restrictions at traveling at some high-risked areas, quarantines and restrictions on public gatherings at bars, restaurants etc have affected negatively the rate of growth in those countries not inside and out of the borders (since exports of products have been severely controlled). Unemployment rate has increased significantly. Private investment and trade suffer. Tourism is inexistent. In addition, food insecurity has driven households to adopt measures in order to withstand. Such measures are the sale of assets, such as land, Rotaract Global Model United Nations; Belgrade 26 – 30 August, 2015 [ ]6
  • 7. ECOSOC, TOPIC AREA A: THE ECONOMIC AND SOCIAL IMPACT OF EBOLA ON THE AF- FECTED COUNTRIES AND SOLUTIONS FOR AN EFFICIENT AND MULTI-SECTORAL RE- SPONSE. buildings, livestock and seed rice, that are likely to reduce their future income or the expenditure of their already existing savings.6 Fear among people has a substantial economic impact as well since workers are unwilling to engage in collective activities, a fact that has reduced agricultural not only the agricultural production, but office work as well. In general, the devotion of increased expenditures to fighting the epidemic, coupled with declining revenues as economic activity fades, are expanding fiscal deficits and reducing expenditures on activities that are not directly related to Ebola. Inflation is rising due to supply bottlenecks, driven by the reduced labor supply, lower trade domestically and across land borders, and unavailability of shipping.7 SOCIAL IMPACT OF EBOLA As it was expected, the Ebola outbreak affected and almost broke down social ties and cohesion in those three countries. Social gatherings have been out of the daily agenda, longstanding traditions of community support, care giving and burial customs have been put aside. People’s fear of getting infected had led them to isolation, not only from strangers but from their own families as well. Due to the epidemic, expenditures on non-Ebola related health services have been dramatically reduced, given the fact that the already existed system had been suffering from severe resource shortages and lack of financing and personnel. The result is likely to be higher infant and maternal mortality and increasing numbers of deaths from malaria and other diseases. On the other hand, the increased attention to hygiene may have improved water supplies and limited cholera. As a result of the Ebola outbreak, schools have closed. That fact has postponed the completion of education for students across the three countries. The most significant outcome of this educational disruption may be8 the future productivity losses, reflecting the lower education of those who do http://www.africa.undp.org/content/dam/rba/docs/Reports/EVD%20Synthesis%20Report6 %2023Dec2014.pdf http://www.africa.undp.org/content/dam/rba/docs/Reports/EVD%20Synthesis%20Report7 %2023Dec2014.pdf Rotaract Global Model United Nations; Belgrade 26 – 30 August, 2015 [ ]7
  • 8. ECOSOC, TOPIC AREA A: THE ECONOMIC AND SOCIAL IMPACT OF EBOLA ON THE AF- FECTED COUNTRIES AND SOLUTIONS FOR AN EFFICIENT AND MULTI-SECTORAL RE- SPONSE. not return to school, which will also require heavy additional investment in an attempt to bring educational outcomes back to pre-outbreak levels.9 It’s an indisputable fact that the epidemic has caused the erosion of social ties in these three affected countries. Suspicion, isolation, but most of all stigmatization of health workers and affected families result from the epidemic. Also, the mistrust within the family has been increased. Three quarters of households questioned said they were mistrustful towards all the other members of the family, 88 percent did not want to live in the same house as or share a meal with someone who had a family member infected by the virus, and 86 percent did not want to share the same workspace and the same means of transport. Only 28 percent of respondents said that those10 cured of Ebola were accepted by the members of their families.11 The epidemic has affected disproportionately women. The reason why is because the role of women dictated by tradition in these societies, as care- givers exposes them to a greater extend of the danger to get affected. Many women also finance economic activities through various forms of cooperative borrowing arrangements that typically require gatherings of people, which have been suspended due to fear of contagion. Furthermore, the new –established democratically governments have failed to cope with the crises. While governments have established agencies to coordinate their efforts against the epidemic, bureaucratic competition has nevertheless led to duplication and increased cynicism about government commitment. http://sa.au.int/en/sites/default/files/THE%20SOCIAL%20IMPACT%20OF%20EBOLA%20-9 English.pdf http://www.africa.undp.org/content/dam/rba/docs/Reports/EVD%20Synthesis%20Report10 %2023Dec2014.pdf http://www.africa.undp.org/content/dam/rba/docs/Reports/EVD%20Synthesis%20Report11 %2023Dec2014.pdf Rotaract Global Model United Nations; Belgrade 26 – 30 August, 2015 [ ]8
  • 9. ECOSOC, TOPIC AREA A: THE ECONOMIC AND SOCIAL IMPACT OF EBOLA ON THE AF- FECTED COUNTRIES AND SOLUTIONS FOR AN EFFICIENT AND MULTI-SECTORAL RE- SPONSE. UN RESPONSE12 Organizations from around the world have responded to help stop the ongoing Ebola virus epidemic in West Africa. In July 2014, the World Health Organization (WHO) convened an emergency meeting with health ministers from eleven countries. In September, the United Nations Security Council13 declared the Ebola virus outbreak in the West Africa subregion a "threat to international peace and security" and unanimously adopted a resolution urging UN member states to provide more resources to fight the outbreak .14 The Economic Community of West African States (ECOWAS) and the World Bank Group have pledged aid money and the World Food Programme announced plans to mobilize food assistance for an estimated 1 million people living in restricted access areas. The United Nations Mission for Ebola Emergency Response (UNMEER) has the task of overall planning and coordination, directing the efforts of the UN agencies, national governments, and other humanitarian actors to the areas where they are most needed and several NGOs have been created in order to tackle the problem. UN Mission for Ebola Emergency Response (UNMEER) On 19 September 2014, an emergency health mission was set for the first time in the history of United Nations. UN Mission for Ebola Emergency Response (UNMEER) was established after the unanimous adoption of General Assembly resolution 69/1, and the adoption of Security Council resolution 2177 (2014). It was a temporary measure to deal with the immediate needs in the fight against Ebola by deploying financial, logistical and human resources to Guinea, Liberia and Sierra Leone to support the push to zero cases.15 On 31 July 2015 UNMEER closed since it has achieved its core objective of scaling up the response on the ground. As of 01 August 2015, oversight of16 UN system’s Ebola emergency response will be fully led by World Health Organization, under the direct authority of WHO Director-General Margaret Chan. In a statement on 31 July the Secretary-General Ban Ki-moon said 'the http://apps.who.int/iris/bitstream/10665/137185/1/roadmapupdate25Oct14_eng.pdf?12 ua=1 http://www.afro.who.int/en/media-centre/media-advisory/item/6672-who-calls-13 emergency-sub-regional-ministerial-meeting-in-accra-ghana-to-tackle-the-on-going-ebola- virus-in-west-africa.html http://www.un.org/press/en/2014/sc11566.doc.htm14 http://theglobalobservatory.org/2014/12/security-council-response-ebola-action/15 http://ebolaresponse.un.org/un-mission-ebola-emergency-response-unmeer16 Rotaract Global Model United Nations; Belgrade 26 – 30 August, 2015 [ ]9
  • 10. ECOSOC, TOPIC AREA A: THE ECONOMIC AND SOCIAL IMPACT OF EBOLA ON THE AF- FECTED COUNTRIES AND SOLUTIONS FOR AN EFFICIENT AND MULTI-SECTORAL RE- SPONSE. United Nations remains steadfast in its commitment to supporting the Governments of Guinea, Liberia and Sierra Leone in getting to and staying at zero cases'. The situation may have been stabilized but the disease still infects thousands of people and its social and economic consequences should be addressed in order to ensure the recovery of the affected states. Besides UNMEER and as part of the overall UNMEER and UN response, UNDP is helping to track payments and improve the systems through which they are being delivered to treatment center staff, lab technicians, contacts tracers and burial teams.17 RESOLUTION 2177 18 On 18 September 2014 the Security Council passes unanimously Resolution 2177, stating that Ebola virus consists a “threat to international peace and security “. Not only did a record by setting 134 countries co- sponsor the resolution, it was one of three resolutions in history of the Council to address a global health concern (there are two other Resolutions about HIV), and the first to declare a health issue to be a threat to international peace and security. By passing this Resolution the Security Council is continuing to push the boundaries of what constitutes a threat to international peace and security under international law to align more closely with a “human security” framework.19 QARMAS (QUESTIONS A RESOLUTION MUST ANSWER) -What are the main social and economic consequences after the latest Ebola outbreak? -How should we address the social and economic consequences of Ebola? -Which are the most affected countries that the UN should focus on? -Are there any target groups that need particular attention? -What issues have not yet been addressed by the existing resolutions? http://www.undp.org/content/undp/en/home/ourwork/our-projects-and-initiatives/17 ebola-response-in-west-africa.html http://www.bbc.com/news/world-africa-2926296818 http://theglobalobservatory.org/2014/12/security-council-response-ebola-action/19 Rotaract Global Model United Nations; Belgrade 26 – 30 August, 2015 [ ]10
  • 11. ECOSOC, TOPIC AREA A: THE ECONOMIC AND SOCIAL IMPACT OF EBOLA ON THE AF- FECTED COUNTRIES AND SOLUTIONS FOR AN EFFICIENT AND MULTI-SECTORAL RE- SPONSE. CONCLUSION One of the lessons learnt during the fight against this unprecedented outbreak of the Ebola epidemic is that this was not only a health crisis, but a social crisis as well. The legacy of civil wars in the three most affected countries has paved the road so that this outbreak gets that dimensionized. This outbreak has shown that the international community should not be overly engaged with humatarian and early recovery actions but it has to focus on tackling its root causes and help these countrie recover from it as soon as possible. Rotaract Global Model United Nations; Belgrade 26 – 30 August, 2015 [ ]11
  • 12. ECOSOC, TOPIC AREA A: THE ECONOMIC AND SOCIAL IMPACT OF EBOLA ON THE AF- FECTED COUNTRIES AND SOLUTIONS FOR AN EFFICIENT AND MULTI-SECTORAL RE- SPONSE. REFERENCES AND FURTHER READING http://www.un.org/press/en/2014/sc11566.doc.htm http://ebolaresponse.un.org/un-mission-ebola-emergency-response-unmeer https://en.wikipedia.org/wiki/Ebola_virus_epidemic_in_West_Africa http://www.who.int/mediacentre/factsheets/fs103/en/ http://www.who.int/mediacentre/factsheets/fs103/en/ http://www.who.int/ith/updates/20140421/en/ Donald G. McNeil Jr. (3 October 2014). "Ask Well: How Does Ebola Spread? How Long Can the Virus Survive?". The New York Times, available at: http:// well.blogs.nytimes.com/2014/10/03/ebola-ask-well-spread-public-transit/?_r=0 Chan M (September 2014). "Ebola virus disease in West Africa—no early end to the outbreak". N Engl J Med 371 (13): 1183–5. doi:10.1056/ NEJMp1409859.PMID 25140856, available at: http://www.nejm.org/doi/full/ 10.1056/NEJMp1409859 http://www.cdc.gov/vhf/ebola/treatment/ http://www.medicinenet.com/ebola_virus_pictures_slideshow/article.htm http://sa.au.int/en/sites/default/files/THE%20SOCIAL%20IMPACT%20OF %20EBOLA%20-English.pdf http://epidemic.bio.ed.ac.uk/ebolavirus_fatality_rate http://apps.who.int/ebola/ebola-situation-reports http://who.int/csr/disease/ebola/ebola-6-months/guinea-chart-big.png?ua=1 Rotaract Global Model United Nations; Belgrade 26 – 30 August, 2015 [ ]12
  • 13. ECOSOC, TOPIC AREA A: THE ECONOMIC AND SOCIAL IMPACT OF EBOLA ON THE AF- FECTED COUNTRIES AND SOLUTIONS FOR AN EFFICIENT AND MULTI-SECTORAL RE- SPONSE. http://www.who.int/mediacentre/news/statements/2014/ebola-20140808/en/ http://www.who.int/mediacentre/news/statements/2014/ebola-20140808/en/ https://en.wikipedia.org/wiki/Ebola_virus_disease http://www.who.int/mediacentre/news/statements/2014/ebola-20140808/en/ http://www.cdc.gov/vhf/ebola/outbreaks/2014-west-africa/index.html http://www.africa.undp.org/content/dam/rba/docs/Reports/EVD%20Synthesis %20Report%2023Dec2014.pdf http://sa.au.int/en/sites/default/files/THE%20SOCIAL%20IMPACT%20OF %20EBOLA%20-English.pdf http://theglobalobservatory.org/2014/12/security-council-response-ebola- action/ http://theglobalobservatory.org/2014/12/security-council-response-ebola- action/ http://ebolaresponse.un.org/un-mission-ebola-emergency-response-unmeer http://ebolaresponse.un.org/un-mission-ebola-emergency-response-unmeer http://www.who.int/mediacentre/factsheets/fs103/en/ http://www.cdc.gov/vhf/ebola/outbreaks/2014-west-africa/ Rotaract Global Model United Nations; Belgrade 26 – 30 August, 2015 [ ]13
  • 14. ECOSOC, TOPIC AREA A: THE ECONOMIC AND SOCIAL IMPACT OF EBOLA ON THE AF- FECTED COUNTRIES AND SOLUTIONS FOR AN EFFICIENT AND MULTI-SECTORAL RE- SPONSE. http://www.who.int/mediacentre/news/statements/2014/ebola-therapies- consultation/en/ http://annals.org/article.aspx?articleid=1899514 http://www.who.int/medicines/emp_ebola_section/en/ Rotaract Global Model United Nations; Belgrade 26 – 30 August, 2015 [ ]14